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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Neurology

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    Psychogenic nonepileptic seizure: An empathetic, practical approach
    Becky Bikat S. Tilahun, PhD and Jocelyn F. Bautista, MD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 252-259; DOI: https://doi.org/10.3949/ccjm.89a.21109

    Barriers to care include clinician misperceptions, lack of acceptance of the diagnosis, poor patient engagement with treatment, and lack of access to care.

  • You have access
    Psychogenic nonepileptic seizure: A neurologist’s perspective
    Elaine Wyllie, MD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 260-261; DOI: https://doi.org/10.3949/ccjm.89a.21129

    Confirming the diagnosis is only the start of the journey. The greater challenge and opportunity lie in how physicians present the diagnosis to the patient and family.

  • You have access
    Oral hyperpigmentation with weakness and salt-craving
    Joseph Zhou, MD and S. Sethu K. Reddy, MD, MBA, FRCPC, FACP, MACE
    Cleveland Clinic Journal of Medicine April 2022, 89 (4) 180-181; DOI: https://doi.org/10.3949/ccjm.89a.21036

    The patient’s primary care physician had attributed the hyperpigmentation on the lower lip and inner cheek to pen ink.

  • You have access
    Potential systemic benefits of shocking or blocking nerves
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2022, 89 (3) 119-120; DOI: https://doi.org/10.3949/ccjm.89b.03022

    What has really caught my attention is the expanding research on controlled regional neuromodulation and its impact on systemic physiology and inflammation.

  • Stellate ganglion block as a treatment for vasomotor symptoms: Clinical application
    You have access
    Stellate ganglion block as a treatment for vasomotor symptoms: Clinical application
    Yeonsoo Sara Lee, BS, Christopher Wie, MD, Scott Pew, MD and Juliana M. Kling, MD, MPH
    Cleveland Clinic Journal of Medicine March 2022, 89 (3) 147-153; DOI: https://doi.org/10.3949/ccjm.89a.21032

    Hormone therapy is the mainstay of treatment, but there is a clear need for safe and effective nonhormonal options. The authors review data on the use of stellate ganglion block in perimenopausal and postmenopausal patients.

  • You have access
    Vitamin D supplementation: Pearls for practicing clinicians
    CME article
    Susan E. Williams, MS, RD, MD, CCD, FACE, FAND
    Cleveland Clinic Journal of Medicine March 2022, 89 (3) 154-160; DOI: https://doi.org/10.3949/ccjm.89a.21021

    A review of how to assess and counsel patients on the use of vitamin D, with patient scenarios clinicians are likely to encounter, and an overview of current recommendations for vitamin D supplementation.

  • You have access
    A large, painless bulla on the right foot
    Jorge Camilo Mora, MD, MPH and Amalia Galindez, MD, FACP
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 10-12; DOI: https://doi.org/10.3949/ccjm.89a.21051

    A patient with a history of type 2 diabetes and diabetic neuropathy had a hemoglobin A1c of 10.3% at presentation.

  • You have access
    Discontinuing antidepressants: Pearls and pitfalls
    Samantha J. Zwiebel, MD and Adele C. Viguera, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 18-26; DOI: https://doi.org/10.3949/ccjm.89a.21020

    To date, no formal schedule for tapering antidepressants has been validated. The maxim “slower is better” applies.

  • You have access
    A painful mass in the jaw
    CME article
    Kanishka G. Patel, MD, Jasmine C. Huynh, MD, James Liu, MD, Paul Aronowitz, MD and May Cho, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 27-35; DOI: https://doi.org/10.3949/ccjm.89a.20156

    The patient presented with a painful mass in the left side of her jaw, headache, lockjaw, painful swallowing, night sweats, and unintentional weight loss.

  • You have access
    Evaluation and management of orthostatic hypotension: Limited data, limitless opportunity
    Aldo J. Peixoto, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 36-45; DOI: https://doi.org/10.3949/ccjm.89gr.22001

    Orthostatic hypotension is common and can have serious consequences. The author offers a systematic approach to evaluation and management.

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